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Organization
LIVE AGAIN FRESNO
Active
Organization
LIVE AGAIN FRESNO
Active
Other names
Live Again Fresno
Organization subpart
No
Provider details
NPI number
Authorized official
JANESSA C WILLIAMS (PROGRAM MANAGER)
(913) 406-4569
Entity
Organization
Contact information
Practice address
1145 W HEDGES AVE, FRESNO, CA 93728-1219
(559) 294-1390
Mailing address
1145 W HEDGES AVE, FRESNO, CA 93728-1219
(559) 294-1390
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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